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Meta-Analysis
. 2020 Apr 7;17(7):2524.
doi: 10.3390/ijerph17072524.

The Association between Helicobacter pylori Infection and Irritable Bowel Syndrome: A Meta-Analysis

Yun-A Kim  1 , Yoon Jeong Cho  1 , Sang Gyu Kwak  2
Affiliations
Meta-Analysis

The Association between Helicobacter pylori Infection and Irritable Bowel Syndrome: A Meta-Analysis

Yun-A Kim et al. Int J Environ Res Public Health. .

Abstract

The association of Helicobacter pylori (H. pylori) infection with functional dyspepsia has been well studied. However, the data on the relationship between H. pylori infection and irritable bowel syndrome (IBS) are conflicting. This study aims to elucidate the association between H. pylori infection and IBS. PubMed, Cochrane Library, CINAHL and SCOPUS databases were searched to identify eligible English articles published up to December 2019. Cross-sectional studies, case-control studies and cohort studies reporting both prevalence of H. pylori infection and IBS were selected for the detailed review. The pooled odds ratio (ORs) and their 95% confidence interval (CI) were calculated. A total of 7269 individuals in four cross-sectional studies and six case-control studies were included. The prevalence of H. pylori infection ranged from 12.8% to 73.4% in the control group, and 9.7% to 72.1% in the IBS group. The combined OR for H. pylori infection was 1.10 (95% CI: 0.93-1.29, I2: 37.5%). In a subgroup analysis of IBS defined according to Rome criteria, the OR for H. pylori infection was 1.10 (95% CI: 0.93-1.30, I2 = 31.7%). In this meta-analysis, H. pylori infection was not significantly associated with IBS. Well-designed studies are needed to identify the relationship between H. pylori infection and IBS.

Keywords: H. pylori; functional dyspepsia; irritable bowel syndrome.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of the search strategy.
Figure 2
Figure 2
Forest plot evaluating the combined odds ratio (OR) between irritable bowel syndrome (IBS) and Helicobacter pylori infection.
Figure 3
Figure 3
Forest plot evaluating the combined OR between IBS and according to Rome criteria and H. pylori infection.
Figure 4
Figure 4
Funnel plot of included articles.
See this image and copyright information in PMC

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